| NPI | 1134161755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TABBY Manager 215-744-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD010) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD030145) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |